当一个被遗忘的结石解脱时:一个意外的自发性皮的意外病例
Usman I Shukr1, Fatima Badar1, Adee Hussain1
1Department of Urology, Fauji Foundation Hospital, Rawalpindi, PAK.
Cureus
|December 1, 2025
概括
本病例报告详细介绍了一例罕见的老年妇女通过皮囊 (NCF) 自发结石挤出的罕见情况. 它强调了未经治疗的结石造成的严重并发症,以及需要迅速进行手术干预的必要性.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學.
- 医学案例报告 病例报告
背景情况:
- 皮 (NCF) 是一种罕见的泌尿病状况.
- 它通常是由于被忽视的结石,慢性肺炎或结核病造成的.
- 通过NCF自发挤出结石非常罕见.
研究的目的:
- 报告一个独特的自发结石挤出病例.
- 强调NCF中成像的诊断实用性.
- 要强调及时手术干预对结石的重要性.
主要方法:
- 一个85岁的老妇人的案例介绍.
- 对病史的审查,包括未经治疗的结石和不起作用的脏.
- 诊断成像以确认状管和残留结石.
- 由于患者因素,保守的管理方法.
主要成果:
- 患者呈现出通过腰部皮肤开口自发挤出一个大型鹿角石头.
- 图像检测证实了带有残留结石的皮囊.
- 由于晚年和并发症,选择了保守的治疗而不是手术.
结论:
- 未经治疗的结石可能会导致严重的并发症,如皮带石挤出.
- 成像在诊断和表征状道方面发挥着至关重要的作用.
- 及时的手术干预至关重要,特别是对于功能不良的脏来说,以防止这种罕见的结果.
相关概念视频
Kidney Transplant II: Surgical Procedure
289
Preoperative ManagementThe primary goals of preoperative management in kidney transplantation are to optimize the patient’s metabolic state and prepare them for surgery through diet adjustments, necessary dialysis, and tailored medical treatment. This phase also involves comprehensive infection screening and patient education about the surgical procedure and postoperative care to improve outcomes and adherence.Medical ManagementA comprehensive evaluation is required for both the living...
289
Acute Kidney Injury II: Pathophysiology
856
Acute kidney injury (AKI) causes are categorized into three primary categories based on the location of the injury: prerenal, intrarenal (or intrinsic), and postrenal causes. This classification guides clinical management and illustrates how different pathways can impair kidney function.Etiology and Pathophysiology of Acute Kidney Injury1. Prerenal causesEtiology: Prerenal Acute Kidney Injury, the most common type, occurs when reduced blood flow to the kidneys decreases filtration capacity...
856
Nephrons
6.3K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
6.3K
Kidney Structure
74.7K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
74.7K
Urinary Tract Calculi VI: Surgical Management
335
Procedures for Kidney StonesMedical intervention is necessary when kidney stones or renal calculi are too large to pass spontaneously (typically greater than 5 millimeters) when stones are accompanied by symptomatic infection (such as fever or pyelonephritis), when they impair kidney function, or when they cause persistent symptoms like severe pain, nausea, or urinary retention. Additionally, patients with only one kidney or those who cannot be treated with medical management also require...
335
Urinary Tract Calculi II: Pathophysiology and Clinical Manifestations
353
Renal calculi, commonly termed kidney stones, are crystalline solid masses that form in the kidneys but can occur at any point within the urinary system, encompassing the kidneys, ureters, bladder, and urethra.The pathophysiology of renal stones involves several key factors: supersaturation of the urine with stone-forming constituents, changes in urine pH, a decrease in urine volume, and the presence of substances that promote or inhibit stone formation.Supersaturation of Urine: This is the...
353


